4/13/2015
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CareManager User Training
version 3.5_113009
Asthma Module
Class Agenda
Overview of Asthma Module
Control Panel & Dashboard in EHR
Identification Tab
Treatment & Services Due Tab
Performance Tab
Resources and Help
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CareManager Asthma Module (Registry)
Identification and documentation of patients with a diagnosis of
asthma and most recent assessment of their asthma control.
Status of guideline-recommended use of medications and
implementation of asthma Action Plan.
Identification of patients for whom a diagnosis of asthma may be
considered.
Displays tables to highlight patients who are due for treatment and
monitoring.
Performance feedback reports of a clinician's performance
compared to peer benchmarking.
Resources for clinicians, staff, and patients.
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Asthma Dashboard (Point of Care)
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CareManager Control Panel – access by
starting Chart Update in EHR
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1.
Care management
summary for the
patient, showing key
treatment indicators
for each module
2.
Color Coded for
triage
3.
Detailed Dashboards
available for all
modules
4.
Screening module
dashboards available
as well
How to Access the Control Panel
form within an office note using
the HPI Launcher
CareManager
Control Panel
form within your
HPI-CCC form.
To insert the form,
click the check
box to the left of
the CareManager
Control Panel
entry.
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How to Access the Control Panel
form within an office note using
My Folders
Users have the ability to add the
CareManager Control Panel to their
MyFolder. Please follow the MyFolder
workflow to add this form to your MyFolder.
http://www.emr.msu.edu/TrainingResources/
How to Access the Control Panel form
within an office note using Favorites
If your clinic does not use
the HPI-CCC form, the
form can be easily added
to the favorites pane.
Please follow the
instructions provided to
users during the 2005
Centricity EMR upgrade
http://www.emr.msu.edu/
TrainingResources/2005/
2005Instructions1.pdf
CareManager Control Panel
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What do the colors mean?
Green = in compliance with recommended care ( i.e.
test is not overdue or the test result is within target)
Yellow = test due shortly or test result is slightly
above target
Red = overdue or a result significantly above target
White = guideline or evidence does not apply, or
insufficient information available
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Using a Dashboard - Asthma
Start at Control
Panel then select
Dashboard
Opens to first of four
tabs
First tab is summary
area used to:
Assess
Review
Record Action
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Navigating the Asthma Dashboard
Other Tabs are used on
a PRN basis
Steps Tab shows
managing asthma
steps
Action Plan used to
setup green, yellow
& red plans
Intervention
Tracking for
recording
interventions
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Asthma Dashboard –First Tab: Assess Section
•
•
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Use ? for
Help
Use boxes
for entering
assessments
Asthma Dashboard – First Tab: Review Section
•
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Review current information and interventions
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Asthma Dashboard – First Tab: Record Action
Section
•
•
•
Update Medications PRN
Record Flu or Tobacco Use PRN
Add another Allergy PRN
OR
Go to Steps Tab to Review steps for managing asthma
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Asthma Dashboard – Steps Tab
•
•
•
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Choices:
•
Review the Steps
•
Go to Classifications
•
Print Asthma
Handout
When ready, select
Assessment Tab to
return to Main
Assessment Page
Then select
Asthma Dashboard – Action Plan Tab: Green Zone
1. Complete
Green Plan
2. Then select Go
to Yellow Zone
so that you can
complete that
plan
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Asthma Dashboard – Action Plan Tab: Yellow Zone
1. Complete
Yellow Plan
2. Then select Go
to Red Zone so
that you can
complete that
plan
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Asthma Dashboard – Action Plan Tab: Red
Zone
1. Complete Red
Plan
2. Select Print &
Record
3. Select
Intervention
Tab if needed
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Asthma Dashboard – Intervention Tracking Tab
1. Update as
needed
2. Close, end
update and sign
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CareManager Application (Web)
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CareManager Application (Web)
1. Modules purchased
2. Can view by provider,
one or more Locations
of Care or entire
organization
depending on setup
Staff users can be
associated with
specific clinicians if
desired
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Accessing Care Manager Web Application
http://team-caremanweb/CareManager/MainMenu.aspx
PC Logins - Users must log PCs and Tablet PCs using their HealthTeam
username and password (e.g. Username: krumsa and password: XXXXX).
Users will not be able to access the CareManager Web application if they log
into the network using generic log ins and passwords.
Accessing CareManager Web Page – The CareManager website address is
http://team-caremanweb/CareManager/MainMenu.aspx. This website
address can be added to your internet favorites or it can be sent to desktop
as shortcut.
CareManager MainMenu – By logging into the PC or Tablet PC using your
Network and login, the system will direct you to the CareManager Main Page.
When using a clinic PC or Tablet PC, and you are not direct to this page,
please verify your log in credentials and make sure you logged in under your
HealthTeam username and password.
Note, when accessing the EMR, you will need to login into your Clinic’s PCs and
Tablets using the appropriate generic accounts (such as intemer####) like you are
doing at this time. Therefore, you will want to block time when working in the EMR so
you will not have to log in and log off the clinic PCs and/or Tablet PCs multiple times.
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CareManager - Identification Tab
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Identification Tab
This tab is used to identify patients of any age who do not
have a diagnosis of Asthma or COPD but are on:
A short-acting β2-agonist (such as albuterol HFA)
A long-acting β2-agonist (such as fluticasone/salmeterol DPI)
An inhaled corticosteroid (such as fluticasone HFA/MDI)
A leukotriene receptor antagonist (such as montelukast)
Theophylline or inhaled cromolyn
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To ADD Diagnosis of Asthma or COPD using
EHR
1. Start Chart Update –
use CareManager
Encounter Type.
2. From the
CareManager
Control Panel,
select the DeIdentify tab.
3. Select Patient HAS
a diagnosis of
Asthma or COPD
and add DX.
4. Close, end and sign
update.
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If Patient’s status is inactive, deceased
or in hospice
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1.
Begin a chart update.
2.
Open the CareManager
Control Panel.
3.
Click Gen DeID.
4.
Complete the form by
selecting the Patient is not
mine or Patient in Hospice
reason and close and sign
update.
5.
For inactive or deceased
patients, you also must
ensure patient is inactivated
or deceased or assigned to
another clinician in EMR so
CareManager will update
overnight. ONLY hospice
patients are moved to the deidentified table.
Treatment & Services Due Tab – CareManager
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Color Review
Green = in compliance with
recommended care (i.e. test
is not overdue or the test
result is within target).
Yellow = test due shortly or
test result is slightly above
target.
Red = overdue or a result
significantly above target.
White = guideline or
evidence does not apply, or
insufficient information
available.
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What do the symbols mean?
Active Stop = Do not pursue treatment at this time
.
Expired Stop = Expiration date for stop is over. Pursue.
Active Wait = Waiting for patient action, result or treatment.
Expired Wait = Expiration date for wait is over. Pursue.
Multiple Provider Support = Multiple Providers involved.
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Using the Treatment & Services Due Tab
Colored coded except for Severity Column.
No label indicates that the patient has no measure of control and there is no
controller on the medication list.
The label Int (for intermittent) indicates that the patient's last measure of
control was "Well," and there is no controller on the medication list.
The label Pers (for persistent) indicates that the patient's last measure of
control was "Not Well" or "Very Poor," or that there is a controller on the
medication list.
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Performance Feedback Tab
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Performance Feedback Tab - CareManager
Control level assessment
Patients with a current assessment
Persistent asthma patients on a controller
Patients with Asthma Action Plans
Patients treated with a long-acting β2-agonist without an inhaled
corticosteroid
Asthma patients who are tobacco users
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Using the Performance Tab
This tab is used by providers to track performance monthly
Updated monthly only
1.
Open CareManager
2.
From main menu, click and select provider being reviewed
3.
Click the Asthma button
4.
Ensure you are on Performance Feedback tab
5.
Review Information and print if desired
6.
Print by using Press CTRL + P.
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Resources and Help - CareManager
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Resources & Help are actually helpful!
Problem #1: You are in the Treatment tab and
cannot figure out why a patient’s Controller Med is
YELLOW
Solution: Click on the
at the top right of the page
and the Table of Contents for HELP will open for you..
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Resources & Help are actually helpful!
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•
Select Treatment &
Services Tab from
the Contents
•
Click the
word Yellow
•
You will be taken to
a table with details
about the Yellow
status and discover
that your patient’s
treatment type is
ALTCONTROLLER
and there is no
LABA and no ICS
and no ICSLABA.
The label "Alt Only"
is displayed.
Resources & Help are actually helpful!
Problem #2: You are in the Asthma module and
want to know what ICD codes are used to place a
patient in this module
Solution: Click on the
at the top right of the page and the
Asthma Table of Contents will open for you
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Resources & Help are actually helpful!
• Click on ICD &
CPT codes
•
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You will be taken to
a list of all the ICD
and CPT codes that
are used in the this
module
Resources & Help are actually helpful!
Problem #3: You are in the Asthma module and
would like to check the latest guidelines
Solution: Select the Resources Tab
1. You will see a list of the latest guidelines
2. Click on the area you would like to review
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CareManager Introduction
& Asthma Module
Questions?
Thanks for attending!
Please contact the EMR Department if you
have questions using the Point of Care
Tool
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Slide 42
Download

Asthma Training Slides